Phimosis and Paraphimosis in Children: About 7 Cases in the Pediatric Surgery Department of the Sylvanus Olympio University Hospital in Lomé (Togo)

Background: Phimosis and paraphimosis are two rare pathologies in our context, they present complications that can go up to penile cancer. Objective: To describe the epidemiology, the clinic and the therapy at the CHU SO of Lomé. Methods: This was a 6-month prospective study conducted in the pediatric surgery department of the CHU SO of Lomé from June 1 to December 31, 2021. It involved newborns, infants, and small children who had consulted for phimosis and paraphimosis. Results: We identified 7 cases, 2 cases of phimosis and 5 cases of paraphimosis. All our patients had a history of decalcification. The most concerned age was 2 months. The most frequent reason was swelling of the prepuce (100%), as well as a blockage of the preputial ring on physical examination. 1 case of acute retention of urine was recorded, manual reduction was done in all our patients who had paraphimosis, circumcision was done in all patients who had phimosis. Conclusion: Phimosis is a pathology that can be complicated into paraphimosis, manual reduction is a first line treatment and circumcision remains the best approach.